2017-04-27T16:48:48-05:00 2016-12-31 461497033 EKS&H LLLP 7979 E TUFTS AVENUE SUITE 400 DENVER CO 802372521 990 2016-01-01 841003771 DONOR ALLIANCE INC DONO 3033294747 720 S COLORADO BLVD NO 800-N DENVER CO 80246 SUSAN M DUNN PRESIDENT/CEO 3033294747 2017-04-26 1 DORI J EGGETT P00645252 3037409400 208.42.238.132 2017-04-27 16:47:18 MD P 3219C133BAC39E5E3E55A8AEB9925CDB4F54441C 2CD2F342D9A56895E935F8A0E7A9027FDFDBA7CB 2016 2021-01-29 14:40:06Z SUSAN M DUNN 720 S COLORADO BLVD STE 800-N DENVER CO 80246 83378494 0 X WWW.DONORALLIANCE.ORG X 1985 CO DONOR ALLIANCE SAVES LIVES THROUGH ORGAN AND TISSUE DONATION AND TRANSPLANTATION. 9 9 158 250 0 0 2097274 504554 33461709 32786227 492436 449455 421 150 36051840 33740386 0 0 0 0 12676612 13782729 0 0 0 17204120 18303024 29880732 32085753 6171108 1654633 72066322 74394428 3544484 3729026 68521838 70665402 X SEE SCHEDULE O 0 0 24909347 32643405 CLINICAL ACTIVITIES FOR ORGAN AND TISSUE DONATIONSEE SCHEDULE O 2029469 142822 COMMUNITY RELATIONS AND PUBLIC EDUCATIONSEE SCHEDULE O 26938816 1 0 0 1 0 0 0 0 0 0 1 0 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 136 0 1 158 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X ANN BARTLETT 3033294747 720 S COLORADO BLVD SUITE 800-N DENVER CO 80246 PATRICK GREEN DIRECTOR 1.00 X 0 0 0 KIM GRIFFITHS DIRECTOR 1.00 X 0 0 0 TOM GRONOW DIRECTOR 1.00 X 0 0 0 JUDY HUTCHINSON DIRECTOR 1.00 X 0 0 0 IGAL KAM MD DIRECTOR 1.00 X 0 0 0 BRADLEY KORNFELD CHAIR 4.00 X X 0 0 0 DEB SMITH CHAIRMAN - ELECT 1.00 X X 0 0 0 KEVIN SMITH SEC/TREASURER 2.00 X X 0 0 0 MARY WHITE DIRECTOR 1.00 X 0 0 0 SUSAN DUNN PRESIDENT/CEO 40.00 X 491660 0 66554 JENNIFER PRINZ COO 40.00 X 285153 0 58916 ANN BARTLETT CFO 40.00 X 208527 0 36744 STEVE KELLEY ORGAN SURGICAL SPECIALIST 40.00 X 235832 0 32573 STEVE MANSFIELD DIRECTOR TISSUE 40.00 X 175986 0 39900 LORRIE ASTON-LINQUIST DIRECTOR LEARNING & DEVELOPMENT 40.00 X 146240 0 35986 GRACE HARCEK DIRECTOR PERFORMANCE EXCEL 40.00 X 136545 0 39952 JOSEPH RUTERBORIES DIRECTOR ORGAN 40.00 X 150749 0 39493 1830692 0 350118 22 0 1 0 MOUNTAIN AVIATION INC 9656 METRO AIRPORT AVENUE BROOMFIELD CO 80021 CHARTER AIRCRAFT 1598094 LABS INC PO BOX 843224 KANSAS CITY MO 64184 TESTING LABORATORY 1211529 UNIVERSITY PHYSICIANS INC PO BOX 110247 AURORA CO 80042 PHYSICIAN SERVICES 1038200 MIDWEST TRANSPLANT NETWORK PO BOX 843313 KANSAS CITY MO 64184 ORGAN PROCUREMENT 815975 MID-AMERICA TRANSPLANT SERVICE 1110 HIGHLANDS PLAZA DR E 100 ST LOUIS MO 63110 ORGAN PROCUREMENT 472982 34 504554 504554 ORGAN RECOVERY FEES 900099 20127090 20127090 TISSUE RECOVERY FEES 900099 11931772 11931772 INCOME FROM AFFILIATE 900099 584543 584543 DONOR DASH 900099 142822 142822 32786227 791321 791321 49296242 49638108 -341866 -341866 -341866 MISCELLANEOUS REVENUE 900099 150 150 150 33740386 32786227 0 449605 1830693 1130506 700187 8889394 7270094 1619300 805210 608782 196428 1516583 1231886 284697 740849 595421 145428 603204 412191 191013 38292 38292 58808 58808 38392 38392 78523 78523 338401 305050 33351 192649 192649 332671 97844 234827 612361 380656 231705 1340794 688328 652466 552156 504294 47862 55141 55141 512564 370843 141721 331129 331129 ORGAN HOSPITAL COSTS 9313637 9313637 OTHER PROGRAM EXPENSES 1301110 1301110 MEDICAL SUPPLIES 1250698 1250698 PROGRAM EDUCATION & COM 1178585 1178585 173909 51101 122808 32085753 26938816 5146937 0 7408802 6574245 5685325 5744237 659071 755512 1243369 1413587 10275722 4416611 5743759 5859111 33943724 36080921 17337215 17921758 45057 45057 72066322 74394428 3244732 3480351 299752 248675 3544484 3729026 X 68359580 70609087 162258 56315 68521838 70665402 72066322 74394428 1654633 488931 0 X X 0 1 X 1 0 X 1824324 1892684 1954474 2097274 504554 8273310 28943789 31073751 29208525 33461709 32786227 155474001 30768113 32966435 31162999 35558983 33290781 163747311 0 9191051 9170424 10653197 12854471 11179807 53048950 9191051 9170424 10653197 12854471 11179807 53048950 110698361 497746 580548 538207 649659 791321 3057481 497746 580548 538207 649659 791321 3057481 32549 18246 20159 421 150 71525 31298408 33565229 31721365 36209063 34082252 166876317 0.66340 0.67690 0.01830 0.01540 X 0 0 0 0 0 0 0 0 1 38392 38392 0 PART II-B, LINE 1: OTHER LOBBYING ACTIVITIES PART II-B, LINE1(I) DONOR ALLIANCE IS A MEMBER OF THE ASSOCIATION OF ORGAN PROCUREMENT ORGANIZATIONS (AOPO). 5.7% OF ASSOCIATION DUES REPRESENT PAYMENTS FOR AOPO LOBBYING EXPENSES. TOTAL AMOUNT OF DUES THAT REPRESENT LOBBYING EXPENDITURES WERE $1,330. DONOR ALLIANCE ALSO ENGAGED PROFESSIONAL LOBBYING SERVICES IN THE AMOUNT $37,062. 258620 258620 4767352 703175 4064177 633992 485888 148104 4009503 2725859 1283644 606255 501689 104566 5859111 INVESTMENT IN ALLOSOURCE 17921758 C 17921758 DEFERRED RENT AND LEASEHOLD IMPROVEMENTS 248675 248675 X 34150794 488931 488931 33661863 78523 78523 33740386 32007230 0 32007230 78523 78523 32085753 PART X, LINE 2: THE ORGANIZATION APPLIES A MORE-LIKELY-THAN-NOT MEASUREMENT METHODOLOGY TO REFLECT THE FINANCIAL STATEMENT IMPACT OF UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. AFTER EVALUATING THE TAX POSITIONS TAKEN, NONE ARE CONSIDERED TO BE UNCERTAIN; THEREFORE, NO AMOUNTS HAVE BEEN RECOGNIZED AS OF DECEMBER 31, 2016 OR 2015. IF INCURRED, INTEREST AND PENALTIES ASSOCIATED WITH TAX POSITIONS ARE RECORDED IN THE PERIOD ASSESSED AS GENERAL AND ADMINISTRATIVE EXPENSE. NO INTEREST OR PENALTIES HAVE BEEN ASSESSED AS OF DECEMBER 31, 2016 OR 2015. TAX YEARS THAT REMAIN SUBJECT TO EXAMINATION INCLUDE 2013 THROUGH THE CURRENT YEAR. X X X 0 0 0 0 0 0 0 0 0 SUSAN DUNN PRESIDENT/CEO 395912 0 95748 0 0 0 53012 0 13542 0 558214 0 0 0 JENNIFER PRINZ COO 249192 0 35961 0 0 0 45381 0 13535 0 344069 0 0 0 ANN BARTLETT CFO 186912 0 21615 0 0 0 35000 0 1744 0 245271 0 0 0 STEVE KELLEY ORGAN SURGICAL SPECIALIST 190000 0 45832 0 0 0 19406 0 13167 0 268405 0 0 0 STEVE MANSFIELD DIRECTOR TISSUE 158762 0 17224 0 0 0 22638 0 17262 0 215886 0 0 0 LORRIE ASTON-LINQUIST DIRECTOR LEARNING & DEVELOPMENT 136501 0 9739 0 0 0 22997 0 12989 0 182226 0 0 0 GRACE HARCEK DIRECTOR PERFORMANCE EXCEL 128775 0 7770 0 0 0 22826 0 17126 0 176497 0 0 0 JOSEPH RUTERBORIES DIRECTOR ORGAN 131942 0 18807 0 0 0 22389 0 17104 0 190242 0 0 0 FORM 990, PART I, LINE 1 DONOR ALLIANCE SAVES LIVES THROUGH ORGAN AND TISSUE DONATION AND TRANSPLANTATION. TO BE A CENTER OF EXCELLENCE - MAXIMIZING ALL DONATION OPPORTUNITIES. DONOR ALLIANCE IS ONE OF 58 FEDERALLY DESIGNATED, NON-PROFIT ORGAN PROCUREMENT ORGANIZATIONS SERVING COLORADO AND MOST OF WYOMING. ADDITIONALLY, IT IS A MEMBER OF AND ACCREDITED BY BOTH THE ASSOCIATION OF ORGAN PROCUREMENT ORGANIZATIONS (AOPO) AND AMERICAN ASSOCIATION OF TISSUE BANKS (AATB). FORM 990, PART III, LINE 4A LINE 4A CLINICAL ACTIVITIES FOR ORGAN AND TISSUE DONATION DONOR ALLIANCE IS A LEADER IN FACILITATING THE DONATION AND RECOVERY OF TRANSPLANTABLE ORGANS AND TISSUES. WITH MORE THAN 120,000 PEOPLE AWAITING TRANSPLANTATION THROUGHOUT THE COUNTRY AND OVER 2,500 IN THE STATES OF COLORADO AND WYOMING, DONOR ALLIANCE IS DEDICATED AND FOCUSED ON RECOVERING LIFESAVING ORGANS FOR THOSE AWAITING TRANSPLANTATION. IN ORDER TO FULFILL ITS MISSION OF SAVING LIVES THROUGH ORGAN DONATION AND TRANSPLANTATION, DONOR ALLIANCE ESTABLISHES AND MAINTAINS STRONG RELATIONSHIPS WITH DONOR HOSPITALS HELPING THE HOSPITAL MAXIMIZE THEIR DONATION OPPORTUNITIES. DONOR ALLIANCE DEPLOYS AN EFFECTIVE FAMILY APPROACH AND RECOVERY PROGRAMS IN MORE THAN 100 HOSPITALS IN THE TWO STATE SERVICE AREA. ADDITIONALLY, DONOR ALLIANCE SAVES AND HEALS LIVES BY FACILITATING THE RECOVERY OF TISSUE FOR THOSE NEEDING HUMAN TISSUE ALLOGRAFTS. DONOR ALLIANCE FACILITATED THE DONATION AND RECOVERY OF 424 ORGAN TRANSPLANTS FROM 139 LOCAL DONORS. IMPROVEMENTS IN INNOVATION AND STEWARDSHIP HELPED LEAD TO A 2% INCREASE OVER THE PREVIOUS HIGH MARK IN TISSUE DONORS; AS 1,710 LOCAL TISSUE DONORS ENABLED COUNTLESS LIVES TO BE SAVED AND HEALED. THE ORGANIZATION REPORTED A 89% AUTHORIZATION RATE, THE RATE AT WHICH ORGAN DONOR FAMILIES SAY YES TO DONATION WHEN APPROACHED. APPROXIMATELY 66% OF THE 139 LOCAL ORGAN DONORS AND 62% OF THE 1,710 TISSUE DONORS IN 2016 WERE LISTED ON EITHER THE COLORADO OR WYOMING STATE DONOR REGISTRIES, RESPECTIVELY. BELOW IS A LIST OF OTHER SIGNIFICANT ACCOMPLISHMENTS AND ACTIVITIES FOR 2016: DONOR ALLIANCE MAINTAINED IN-HOUSE HOSPITAL COORDINATOR POSITIONS AT KEY HOSPITALS TO IMPROVE CUSTOMER SERVICE, DONATION OUTCOMES AND INTERACTIONS WITH DONOR HOSPITAL STAFF. DONOR ALLIANCE RECOGNIZED FOUR COLORADO HOSPITALS AT THE COLORADO HOSPITAL ASSOCIATION'S ANNUAL MEETING WITH ENDING THE WAIT AWARDS IN APPRECIATION OF THEIR EXTRAORDINARY EFFORTS IN ORGAN AND TISSUE DONATION. REPRESENTATIVE OF THE ORGANIZATION'S COMMITMENT TO INNOVATION AND PROCESS IMPROVEMENT, DONOR ALLIANCE CONTINUED ITS PERFORMANCE EXCELLENCE JOURNEY IN 2016 FOCUSING ON STREAMLINING ITS STRATEGIC PLANNING PROCESS BY USING THE BALDRIGE CRITERIA. BUILDING ON ITS 2011 ACHIEVEMENT OF OPENING THE DOORS TO A FREE-STANDING RECOVERY CENTER, 43% OF THE ELIGIBLE ORGAN DONORS IN THE SERVICE AREA IN 2016 WERE RECOVERED AT THE SPECIALIZED, DENVER-AREA FACILITY ENSURING STREAMLINED PROCESSES. TISSUE UTILIZATION OF THE FACILITY WAS AT 97% WITH 1,665 TISSUE RECOVERIES TAKING PLACE AT THE RECOVERY CENTER. FORM 990, PART III, LINE 4B LINE 4B COMMUNITY RELATIONS AND PUBLIC EDUCATION A LARGE BARRIER TO AUTHORIZATION FOR DONATION IS A LACK OF KNOWING THE FACTS ABOUT DONATION. MANY MYTHS AND MISCONCEPTIONS ABOUT ORGAN AND TISSUE DONATION PERSIST, AND PREVENT PEOPLE FROM BECOMING DONORS. DONOR ALLIANCE WORKS DIRECTLY WITH COMMUNITY LEADERS AND GATEKEEPERS TO PROVIDE INFORMATION, ANSWER QUESTIONS, LISTEN TO CONCERNS AND ULTIMATELY FIND WAYS TO ENCOURAGE NEW DONORS TO SAY "YES". DONOR ALLIANCE INSPIRES THE PUBLIC TO REGISTER AS ORGAN AND TISSUE DONORS THROUGH COMMUNITY PARTNERSHIPS, PUBLIC OUTREACH AND EDUCATION CAMPAIGNS THROUGHOUT ITS DONATION SERVICE AREA. COLORADO'S DONOR DESIGNATION RATE (THE RATE AT WHICH PEOPLE SAY YES WHEN OBTAINING OR RENEWING THEIR DRIVER'S LICENSE) WAS 69.3% PERCENT AT THE CLOSE OF 2016 MAKING IT ONE OF THE HIGHEST PERFORMING STATE DONOR REGISTRIES IN THE NATION. WYOMING, RANKED WITHIN THE TOP 10 OF STATE DONOR REGISTRIES, CLOSED 2016 WITH A 57.6% PERCENT DONOR DESIGNATION RATE. DONOR ALLIANCE RUNS A PROGRAM WITH LOCAL BUSINESSES CALLED WORKPLACE PARTNERSHIP FOR LIFE. THIS PROGRAM ALLOWS COLORADO AND WYOMING BUSINESSES TO PARTNER WITH DONOR ALLIANCE TO INCREASE AWARENESS AND ENCOURAGE REGISTERING AS ORGAN, EYE, AND TISSUE DONORS. DONOR ALLIANCE ALSO MANAGES A SCHOOL-CURRICULUM PROGRAM THAT EDUCATES MIDDLE AND HIGH SCHOOL STUDENTS ON THE SCIENCE BEHIND ORGAN AND TISSUE DONATION. THE PROGRAM, TITLED TRANSPLANTATION SCIENCE, REACHED MORE THAN 10,000 STUDENTS IN BOTH COLORADO AND WYOMING IN 2016. THE ORGANIZATION'S COLLABORATION WITH THE COLORADO DIVISION OF MOTOR VEHICLES CONTINUED THROUGHOUT 2015 WITH OUTREACH, EDUCATION AND COLLATERAL MATERIALS PROVIDED TO ALL 53 DRIVER'S LICENSE OFFICES IN COLORADO AS WELL AS 29 IN WYOMING. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS REVIEWED FIRST INTERNALLY BY THE CFO AND CEO. IT IS THEN REVIEWED IN DETAIL BY THE FINANCE/AUDIT COMMITTEE AND THEN THE BOARD OF DIRECTORS BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST FORM IS FILLED OUT ANNUALLY BY ALL DIRECTORS AND EMPLOYEES, AND REVIEWED BY THE BOARD CHAIR AND CEO. AS PART OF THE FORM, THEY ACKNOWLEDGE THAT THEY WILL DISCLOSE ANY CONFLICTS WHICH CURRENTLY EXIST, OR ANY THAT MAY ARISE DURING THE YEAR. THE POLICY ADDRESSES "MOONLIGHTLING OR ANY ACTIVITY WHEN A DIRECTOR, EMPLOYEE OR THEIR FAMILY MEMBER IS INVOLVED THAT MAY RESULT IN PERSONAL GAIN. BOARD DIRECTOR'S DISCLOSED CONFLICTS WILL BE ADDRESSED BY THE BOARD AND THE CONFLICTED PARTY WILL ABSTAIN FROM VOTING ON ANY MATTERS THAT DIRECTLY IMPACT THEIR FINANCIAL SITUATION. EMPLOYEE DISCLOSED CONFLICTS WILL BE ADDRESSED BY THE SENIOR LEADERSHIP OF DONOR ALLIANCE. FAILURE TO DISCLOSE CONFLICTS COULD RESULT IN DISMISSAL OF A DIRECTOR OR TERMINATION OF AN EMPLOYEE. FORM 990, PART VI, SECTION B, LINE 15 IN 2014, DONOR ALLIANCE UTILIZED A COMPENSATION CONSULTANT ALONG WITH INDEPENDENT THIRD PARTY SURVEYS AND ASSOCIATION OF ORGAN PROCUREMENT ORGANIZATIONS (AOPO) SURVEYS TO EVALUATE AND MAKE SALARY ADJUSTMENTS FOR THE TOP EXECUTIVES (CEO, COO AND CFO). THE SURVEYS WERE THEN COMMUNICATED AT AN ANNUAL MEETING OF THE EXECUTIVE COMPENSATION COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPRISED OF A SUBSET OF THE BOARD OF DIRECTORS AND NONE OF THE COMMITTEE MEMBERS HAS A CONFLICT OF INTEREST WITH REGARD TO COMPENSATION. THE CEO, COO AND CFO ARE NOT PRESENT AT THE MEETING DURING DISCUSSION OF THEIR COMPENSATION. ALL DISCUSSIONS ARE DOCUMENTED IN THE EXECUTIVE COMPENSATION COMMITTEE MEETING MINUTES. THE CHAIRMAN OF THE BOARD IS RESPONSIBLE FOR COMPLETING AN ANNUAL PERFORMANCE APPRAISAL ON THE CEO BASED ON PRE-DETERMINED GOALS AND COMPETENCIES. THE CEO IS RESPONSIBLE FOR COMPLETING AN ANNUAL PERFORMANCE APPRAISAL ON THE CFO AND COO BASED ON PRE-DETERMINED GOALS AND COMPETENCIES. AFTER ALL THE INFORMATION IS PRESENTED, THE EXECUTIVE COMPENSATION COMMITTEE APPROVES COMPENSATION LEVELS FOR THE NEXT YEAR BASED ON THE INDEPENDENT SALARY SURVEYS, PERFORMANCE EVALUATIONS, AND THE CEO'S RECOMMENDATION FOR THE COO AND CFO. KEY EMPLOYEES ARE EVALUATED ANNUALLY BY EXECUTIVE LEADERSHIP (CEO, CFO, AND COO) AND SALARY INCREASES ARE BASED ON THEIR PERFORMANCE, WITHIN PRESCRIBED SALARY RANGES. THE HUMAN RESOURCES DIRECTOR REVIEWS INDEPENDENT SALARY SURVEYS TO EVALUATE THE SALARY RANGES, AND THEY HAVE BEEN DETERMINED TO BE REASONABLE COMPARED TO ORGANIZATIONS OF SIMILAR SIZE AND SCOPE OF RESPONSIBILITY. PERFORMANCE IS BASED ON PRE-DETERMINED GOALS AND COMPETENCIES. FORM 990, PART VI, SECTION C, LINE 19 THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, AND ARTICLES OF INCORPORATION AND BY-LAWS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. PART XII, LINE 2C THERE HAS BEEN NO CHANGE IN THE SELECTION PROCESS DONOR ALLIANCE FOUNDATION 720 S COLORADO BLVD SUITE 800-N DENVER CO 80246 841242267 PUBLIC AWARENESS CO 501(C)(3) 509(A)(3) N/A 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0